WORK HISTORY-Please provide your work history in the area below.
May we
contact for
reference?
Please explain why you would like to be a tutor. What experience and education do you have that qualifies you
to be a tutor?
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What experience do you have working with students of diverse ethnic and academic backgrounds?
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Disclosures and Signature
Have you ever been convicted of any crime(s)? Yes No
If you marked “yes”, please state each conviction, the specific charge for which you were convicted, the date, and place of conviction,
as well as the jail/prison sentence or fine you received. Please be aware that certain offenses need not be
repo
rted, including judicially
dismissed misdemeanors or expunged records, Penal Code 1203.4. A record of conviction will not necessarily constitute an automatic
bar to employment.
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I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that
false or misleading information in my application or interview may result in my release.
Signat
ure:
Tod
ay’
s
Date
:
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Please submit your completed Tutor Application via email to
tutoring@mccd.edu
Should you have any issues, please call us at 209-384-6329.
click to sign
signature
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